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Nursing Essential: NAT > Hygiene and personal care > Flashcards

Hygiene and personal care Flashcards

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1
Q

what is halitosis?

A

bad breath caused by bacteria because of no oral care

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2
Q

what is excoriation

A

red scaly ares caused by skin exposure to bodily fluids (stool, urine, gastric juices)

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3
Q

where is excoriation located

A

axillary, pendulous breasts, abdominal folds, buttocks

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4
Q

what is alopecia

A

loss or absence of hair caused by genetics, certain illness, effects of drugs (chemo)

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5
Q

what should you do for a pt that has alopecia

A

educate, resources, self-esteem

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6
Q

what is pediculosis

A

contagious scalp infection/lice

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7
Q

symptoms of pediculosis

A

itching, redness, secondary bacertia infections if untreated

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8
Q

what is shear

A

force where skin is pulled in parallel direction

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9
Q

examples of shear

A

skin sticks to linens but body moves down
pulling bones of pelvis one way, skin moves another

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10
Q

what increases shear injury

A

moving HOB

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11
Q

what is friction

A

force when skin is dragged across surface

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12
Q

examples of friction

A

sliding across bed to trader cart: skin adherence to outside surface is increased

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13
Q

what are contributing factors to friction

A

elderly, uncontrollable movements, braces or appliances rubbing skin

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14
Q

what are some alteration in self care

A

illness, surgery, immobility, cognitive dysfunction

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15
Q

what do you do when pts have alterations in self care

A

ask for what type of assistance they need: independence is key

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16
Q

what should you consider with older adults

A

drier, thinner skin, dentures need to fit properly, dry mouth is common

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17
Q

what is common with denture problems

A

pain, discomfort, digestive issues, poor nutritional status

18
Q

what are the diversity considerations

A

life span, gender, culture, ethnicity, religion, disability

19
Q

when do you inspect hair, skin, nails and oral cavity

A

before and during bath, ask about them

20
Q

what all do you assess

A

ADL’s, poor hygiene=infection

21
Q

what is the purpose of bathing

A

cleanse, stimulate circulation, relax, enhance healing

22
Q

can bathing be delegated to UAP

A

yes

23
Q

what are the types of baths

A

complete, partial, therapeutic

24
Q

what is a complete bath

A

pt does not help

25
Q

what is a partial bath

A

pt can perform part of bath

26
Q

what is a therapeutic bath

A

promote comfort and provide treatment (after L+D, sooth itchy skin)

27
Q

what should you do when bathing

A

allow rest periods and assess skin on back and buttocks for redness

28
Q

how often should you give baths

A

Q24

29
Q

what is a CHG bath used for

A

reduce risk of HAI for pts at high risk of infection

30
Q

who uses CHG baths

A

cancer, post op, wounded, lines or drains (central lines, catheters)

31
Q

what pt needs help with oral care

A

hospice, infants, comatose, vented, sedated, quadriplegic

32
Q

what is the nurses responsibility for oral care

A

check for aspiration, impaired swallowing, and decreased gag reflex before care, clean dentures, suction in place for unconscious pts

33
Q

what position should unconscious pts be in when oral care is provided

A

to the left or right: nothing goes down throat

34
Q

how often should oral care be done

A

Q12

35
Q

what do you do for diabetic pts feet

A

inspect daily, lukewarm water +dry thoroughly, avoid moisture between toes, cotton socks, file nails, comfortable shoes, no heat

36
Q

what is important with hair care

A

cultural and personal preferences and sense of well-being

37
Q

what is the nurses responsibility with hair care

A

brush daily, soft bristle brush, shampoo caps for pts who can’t stand

38
Q

what are nurses responsibilities with shaving

A

electric razors for pts prone to bleeding/on anticoagulants, communicate about preferences

39
Q

how often should you reposition your pt

A

Q2

40
Q

how should you wash females

A

front to back

41
Q

what type of toothbrush should you use for pts on anticoagulants

A

soft-bristled

Nursing Essential: NAT (10 decks)

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